1. Component 2: The Culture of Health Care
3.1: Unit 3: Health Care Settings- Where Care is Delivered
3.1 c: Hospital Structure

2. Hospital Structure- Overview
Describe the basic structure of a hospital
Describe the function of individuals associated with a hospital
Board of Trustees
Hospital Administrator (CEO)
Chief Financial Officer
Chief Information Officer
Chief Nursing Executive
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

3. Hospital Structure- Overview (cont’d)
Chief Operating Officer
Chief of Medical Staff
Medical Staff
Medical Director
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

4. Large Hospital Organizational Chart
Board of Directors or Board of Trustees
Hospital Administrator (CEO)
Chief Financial Officer
Business Office
Accounting
Materials/Purchasing
comptroller
Chief Information Officer
Health Information Management
Hospital Information Systems
Information Technology
Telecom
Chief Nursing Executive
Nursing Units
ICU
Pediatric Nursing
Labor and Delivery
Chief Operating Officer
Surgery Department
Neurology Department
Pediatrics Department
Obstetrics Department
Chief of Staff
Medical Staff
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

5. Board of Directors/Board of Trustees
Governing Board as “Owner”
Determining the mission
Setting Policy and Goals
Ensuring Financial Security
Maintaining an open relationship with community
Board-CEO Partnership
Board, Physicians, and the Hospital Medical Staff
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

6. Hospital Administrator (CEO)
Responsible for all functions, including the medical staff functions, nursing services, technical activities, and the general service activities.
Marketing and public relations
Planning
Local and federal regulation compliance
Financial measurement and performance
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

7. Hospital Administrator (CEO) (cont’d)
Personnel recruiting and development
Medical/staff relations
Walking the hospital floor
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

8. Chief Financial Officer
Personnel overview- Senior level manager that reports to the CEO. Usually has much experience in the business areas of a hospital
Education- bachelor’s degree and/or MBA usually preferred
Manages the business office, accounting, materials/purchasing office, and the comptroller
Responsible for all business functions of the hospital.
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

9. Chief Information Officer
Overview- manages much of the nonclinical technology used in hospitals. Usually has an information technology department and a health information management department
Education- minimum- bachelor’s degree, master’s or Ph.D. preferred
Health information management- security, accuracy and completeness of health records
Information technology- operates the health information system computers and usually responsible for computers and phones
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

10. Chief Information Officer-
Information Technology Department Personnel- Director, Data Resource Administrator, Information Security manager, Network Engineer, Hardware Engineer, Integration Architect, IT Project Manager
Health Information Management Personnel- Director, Clerical Supervisor, Transcription Supervisor, Coding Supervisor
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

11. Chief Nursing Executive
Overview- oversees the practice of nursing throughout the entire hospital
Education- minimum- bachelor’s, preferred master’s or doctorate
Senior level management nurse
Functions- provide leadership roles in the designing of care, the planning and developing of procedures and policies, and administration of budgets
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

12. Chief Operating Officer
Overview- bears the ultimate responsibility for making sure the day-to-day business functions run smoothly.
Education- minimum bachelor’s, master’s preferred; at least 10 years experience in business functions
Functions- enforces the hospital’s policies and procedures, to ensure patient and doctor satisfaction, high employee morale, and hospital profitability
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

13. Health IT Workforce Curriculum Version 1.0/Fall 2010
Chief of Medical Staff
Overview- liaison between the medical staff, the CEO, and Board of Trustees/Directors of the hospital
Education- MD
Functions-utilization review and QA, medical education, physician recruitment and working with regulatory agencies.
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

14. Health IT Workforce Curriculum Version 1.0/Fall 2010
Medical Staff
Overview- are not employees of the hospital. Instead, appointed by the Board of Trustees to admit patients and use hospital facilities and services. A single organized staff that has overall responsibility for the quality of the professional services provided by individuals with clinical privileges
Education- MD
Function- provide quality care and participate in specified hospital activities (i.e. quality improvement)
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010

15. Health IT Workforce Curriculum Version 1.0/Fall 2010
Medical Director
Overview- liaison between medical staff and hospital administration. Usually a hospital employee.
Education- MD
Functions-utilization review and QA, medical education, physician recruitment and working with regulatory agencies. Basically the same as the Chief of Medical Staff
Component 2/Unit 3.1c
Health IT Workforce Curriculum Version 1.0/Fall 2010